Grundy County Surgical Facility

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

GRUNDY COUNTY SURGICAL FACILITY

Practice address

425 E US Route 6
Morris, IL 60450-9042

Phone

(815) 942-6511

Fax

(815) 942-6582

NPI assigned

Mar 28, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Diane Carlson

Title

MGR

Phone

(815) 942-6511

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871612333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604509042",
            "telephone_number": "815-942-6511",
            "fax_number": "815-942-6582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E US ROUTE 6",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604509042",
            "telephone_number": "815-942-6511",
            "fax_number": "815-942-6582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRUNDY COUNTY SURGICAL FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "815-942-6511"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grundy County Health Department
• Grundy County Health Department
• Grundy County Pain Center SC
• Grundy County Spec Educ Coop
• Grundy County Special Education Cooperative
• Grundy Kendall Regional Office of Educaion
• Grundy Radiologists Inc
• Lindsay Guth, PT
• Ishtiaq Ahmed Habib, M.D.
• Douglas Rolf Halkyard, DDS

• Ambulatory Surgical Clinic/Center in Morris, IL
• Providers in Morris, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.